Individual provider · Type 1 NPI

Anthony Wayne Long, CDCA

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1396409595 Active

Practice location

4000 E Main St
Columbus, OH 43213-2950

Mailing address

4214 E Main St
Whitehall, OH 43213-3028

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.178725 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1396409595

Anthony Wayne Long, CDCA's National Provider Identifier is 1396409595, issued on Oct 25, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Oct 25, 2021.